Individual
JERRY D MCCREERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4879 US HIGHWAY 68 S, WEST LIBERTY, OH 43357-9525
(937) 599-1411
(937) 599-4128
Mailing address
4879 US HIGHWAY 68 S, WEST LIBERTY, OH 43357-9525
(937) 599-1411
(937) 599-4128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35051131M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0582589
—
OH
Enumeration date
05/23/2005
Last updated
08/08/2014
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